Active NPI
Waterfront Institute for Spine and Joint Rehabilitation
- General Practice Physician
- Edgewater, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- WATERFRONT INSTITUTE FOR SPINE AND JOINT REHABILITATION
- Practice address
- 115 River Rd Ste 901
Edgewater, NJ 07020-1080 - Phone
- (201) 840-1980
- Fax
- (201) 840-1987
- NPI assigned
- Dec 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David P Podell, D. C.
- Title
- President
- Phone
- (201) 840-1980
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Neuroradiology Physician | 2085N0700X | |||
| General Practice Physician | 208D00000X | Primary | ||
| Interventional Pain Medicine Physician | 208VP0014X |
Addresses
Primary practice location
115 River Rd Ste 901
Edgewater, NJ 07020-1080
Mailing address
115 River Rd Ste 901
Edgewater, NJ 07020-1080
Phone (201) 840-1980
National Provider Directory
National Provider DirectoryLocations
115 River Rd
Ste 1032
Edgewater, NJ 07020
Phone (201) 840-1980
115 River Rd
Ste 901
Edgewater, NJ 07020
Phone (201) 804-1980
115 River Rd
#1032
Edgewater, NJ 07020
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Edgewater, NJ
- NPI 1407963887
-
- Physical Medicine & Rehabilitation Physician
- Montclair, NJ
- NPI 1831352848
-
- Family Medicine Physician
- Whitehouse Station, NJ
- NPI 1831196971
-
- Physical Therapist
- Dumont, NJ
- NPI 1174706451
-
- Physical Therapist
- Franklin Lakes, NJ
- NPI 1780839456
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- New York, NY
- NPI 1659564680
-
- Addiction Medicine (Preventive Medicine) Physician
- Burnsville, MN
- NPI 1285960013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1382832000000",
"number": "1700944147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 RIVER RD STE 901",
"city": "EDGEWATER",
"state": "NJ",
"postal_code": "070201080",
"telephone_number": "201-840-1980",
"fax_number": "201-840-1987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 RIVER RD STE 901",
"city": "EDGEWATER",
"state": "NJ",
"postal_code": "070201080",
"telephone_number": "201-840-1980",
"fax_number": "201-840-1987"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WATERFRONT INSTITUTE FOR SPINE AND JOINT REHABILITATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2013-10-27",
"status": "A",
"authorized_official_last_name": "PODELL",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "201-840-1980",
"authorized_official_credential": "D. C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Neuroradiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edgewater, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.